- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,400.67 / $8,249.59 / $16,765.40
| Facility | | $6,400.67 | $8,249.59 | $16,765.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,031.88 / $8,698.58 / $9,962.75
| Facility | | $6,031.88 | $8,698.58 | $9,962.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,236.64 / $7,817.76 / $8,937.71
| Facility | | $6,236.64 | $7,817.76 | $8,937.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,109.10 / $9,043.65 / $11,761.66
| Facility | | $5,109.10 | $9,043.65 | $11,761.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,936.66 / $9,919.36 / $11,955.30
| Facility | | $6,936.66 | $9,919.36 | $11,955.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,286.00 / $7,252.78 / $11,169.47
| Facility | | $1,286.00 | $7,252.78 | $11,169.47 |